- CVS Health (Columbus, OH)
- …years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of residence ... + 2+ years of experience using Microsoft Office products, including Outlook and Excel, and previous experience using Internet Explorer and Google Chrome to effectively utilize review resources and conduct reviews. + Must be able to work Monday through Friday… more
- New York State Civil Service (Albany, NY)
- …Supervision, Department of Title Nurse Practitioner - Office of Special Investigations Occupational Category Health Care, Human/Social Services Salary Grade ... 24 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary...the New York State Department of Corrections Office of Special Investigations (OSI) obtains, and reviews care… more
- New York State Civil Service (Albany, NY)
- …Supervision, Department of Title Registered Nurse 1 - Office of Special Investigations Occupational Category Health Care, Human/Social Services Salary Grade ... 18 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary...a liaison to, other staff within the Office of Special Investigations , the Department, and/or distinct organizational… more
- CVS Health (Columbus, OH)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- Bassett Healthcare (Cooperstown, NY)
- …What you'll do The Registered Professional Nurse (RN), Acute Care in the Special Care unit is accountable for the delivery of safe patient care utilizing ... of life possible. About the department Bassett Medical Center's Special Care Unit is a 24-bed intermediate...to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate… more
- Hackensack Meridian Health (Edison, NJ)
- …with quality improvement projects. + Lead or conducts root cause analysis investigations . + Assure unit regulatory compliance. + Participate in staff ... measures of product utilization within the department. + Serves on-call based on unit requirements. + Assumes special projects as assigned. + Performs other… more
- Hackensack Meridian Health (North Bergen, NJ)
- …participates with quality improvement projects + Lead or conducts root cause analysis investigations + Assure unit regulatory compliance + Participate in staff ... serve as a leader of positive change. The **Assistant Nurse Manager** (ANM) / Supervisor, Nursing is a professional,...utilization within the department. + Serves on-call based on unit requirements. + Assumes special projects as… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- Summary Registered Nurse (Mobile Medical Unit /PACT Care Manager) is responsible for delivering and coordinating care as a member of the Mobile Medical Unit ... sites, community partners, at VA Stand-Downs, and for any other homeless special events. Functioning as point of contact with Veteran's Service Organizations, etc.,… more
- Elevance Health (Woburn, MA)
- ** Nurse /CPC - Clinical Fraud Investigator Senior - SIU...aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...and risk avoidance based on the outcome of the investigation . + Coordinates with concerned unit /brand as… more
- Hackensack Meridian Health (Edison, NJ)
- …with quality improvement projects. 5. Lead or conducts root cause analysis investigations . 6. Assure unit regulatory compliance. 7. Participate in staff ... **Overview** The Assistant Nurse Manager (ANM) is a professional, registered ...utilization within the department. 4. Serves on-call based on unit requirements. 5. Assumes special projects as… more